Provider Demographics
NPI:1710454848
Name:DEL CASTILLO, PEDRO AGUSTIN
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:AGUSTIN
Last Name:DEL CASTILLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8075 SW 107TH AVE APT 215
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4889
Mailing Address - Country:US
Mailing Address - Phone:305-877-0389
Mailing Address - Fax:
Practice Address - Street 1:8075 SW 107TH AVE APT 215
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4889
Practice Address - Country:US
Practice Address - Phone:305-877-0389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management